Individual
MRS. KIM MARIE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7270 LAKEVIEW CT, NORTH TONAWANDA, NY 14120-9711
(716) 693-4501
Mailing address
7270 LAKEVIEW CT, NORTH TONAWANDA, NY 14120-9711
(716) 693-4501
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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